Who takes the child to the doctor? Mom,pretty much all of the time

We document the degree to which Danish mothers are responsible for handling their children’s medical services. Using unique administration data on detailed medical services that were performed on all Danish children from 1992 to 1995, we find that, on average, more than 90% of all children’s medical services were handled by their mothers rather than their fathers. To our knowledge, this is the first study to use medical register data to quantify domestic time use. As these services are mainly performed during work hours, this finding provides one mechanism by which absenteeism increases as a consequence of motherhood. Furthermore, the economic variables that should affect a household’s assignment of a task like taking the child to the doctor are shown to explain very little, suggesting that other factors, such as societal norms, are at play.     

The excess demand for subsidized child care in Germany

The extension of publicly provided or subsidized child care is currently one of the priorities of the political agenda in many European countries. In this article, the excess demand for subsidized child care slots in Germany is estimated using a partial observability model. The results show that there is considerable excess demand for child care for children aged less than 3 years in East and West Germany, even among children with working mothers.     

Determinants of child morbidity and factors governing utilization of child health care: evidence from rural India

Prevention as well as effective treatment of respiratory infections and diarrhoea depends on several individual, household and community level factors. The objective of this article is to estimate the role played by such factors in determining the occurrence of such diseases and utilization of formal health care for children under the age of three in India. The major findings are briefly enlisted as follows. First, a woman with greater educational qualification and autonomy in terms of her power to take decisions on her own, control over household resources and complete freedom to move beyond the confines of her household exerts a significant influence on the probability of seeking care. In addition to this, formal care is more likely to be sought for children whose mothers are more exposed to the media. Programmes devised to enhance utilization of formal health care for children should be targeted to catering for the needs of the vulnerable group i.e. female child, predominantly, residing in households belonging to Scheduled Tribe. In addition to this, children belonging to Muslim households are at higher risk of contracting the diseases but there is no significant difference in their health seeking behaviour as compared to other religious groups.     

Are Parental Characteristics Important for Child Survival? The Case of Vietnam

While remaining one of the poorest countries in the world, Vietnam's infant and child mortality rates have been much lower than those observed for countries with similar or even higher levels of real income per capita. The paper investigates the role of parents' characteristics in affecting survival of their children, using a logistic discrete-time model and data from the Vietnam Demographic and Health Survey 1988 . It is found that infant mortality is significantly higher for children of mothers with no formal education. However, parents' other socioeconomic characteristics, including mothers attaining levels of education higher than the primary level, are not important for explaining differences in child survival. There is some evidence that children of higher orders of birth face higher risk. Results on the effects of maternal education diverge from findings for other countries, but can perhaps be explained by the country's distinctive features.     

Prices,infrastructure, household characteristics and child height

A Brazilian household survey, ENDEF, in 1974-75 and the 1974 Informacoes Basicas Municipais (IBM) provided data for the analysis of the impact of community services and infrastructure and household characteristics on the logarithm of child height, standardized for age and gender. The sample was comprised of 36,974 children stratified by residential location, the child's age, and the educational level of the mother. Variance and covariance matrices were estimated with the jackknife developed by Efron (1982). Household characteristics included the logarithm of per capita expenditure as a measure of household resource availability, income, and parental education. Community characteristics were local market price indices for 6 food groups (dairy products, beans, cereals, meat, fish, and sugar), level of urbanization, buildings with sewage, water, and electricity connections per capita, per capita number of buildings, and population density. Health services were measured as per capita number of hospitals and clinics and doctors and nurses, and the number of beds are hospital. Educational services include a measure of student teacher ratios, elementary school class size, and per capita number of teachers living in the community. the results show that expenditure had a positive, significant effect on the height of children 2 years and older. Expenditure was a significant determinant for literate and illiterate mothers, and not well educated mothers. The impact of maternal education was largest on the length of babies and declined with the age of the child. Father's education had not impact of length of babies. The effect of parents' education was complementary. The effect of father's education was largest when mothers had some education. Better educated parents had healthier children. Maternal rather than paternal height had an impact of the length of a baby. In the community models, prices had a significant effect on child height, in both urban and rural areas, in all age groups, and for all levels of maternal education. Higher prices were associated with shorter children. Joint price and expenditure interactions were significant. Children at the top of the expenditure distribution were more affected by some prices than by others. Capital building improvements alone and with expenditures were all positively associated with child height. Only nurses per capita impacted on child height.     

Child participation,nature of work,and fertility demand: a theoretical analysis

A model of utility maximization with home production of children and standard of living is used to analyze the fertility behavior of a subsistence farming household in an agricultural lesser developed country. Assuming children as both consumer and producer goods, and assuming a prestige cost of their participation in labor force, the author derived alternative levels of fertility demand. The following different conditions of child participation were identified depending upon the size of the prestige cost and the resultant net gain from child work: (1) participation in wage-labor, if marginal child income from the family farm is less than marginal wage income; (2) participation in family farm works only, if the larger wage income is neutralized by a higher prestige cost, implying a lower child contribution; (3) participation in family farm works only, if its marginal child income is greater than wage income, thus providing the largest child contribution; and (4) no participation in labor force at all, implied by a very high prestige cost and resulting in no child contribution. The household demands a larger number of children under conditions (1) and (3) than under conditions (2) and (4). The results are then used to draw inferences regarding fertility behavior across different landholding households. It appears that landholding reduces fertility initially, increases it at the intermediate levels, and then decreases it when the household becomes a non-cultivating rental income earner. The nonmonotonic landholding-fertility relationship explains the contradictory empirical evidence which exists in the literature while also suggesting important implications for fertility regulation policy.     

Children's welfare exposure and subsequent development

We examine the extent to which children are exposed to the welfare system through their mother's receipt of benefits and its impact on several developmental outcomes. Using data from the matched mother-child file from the National Longitudinal Survey of Youth (NLSY), we find that children's welfare exposure is substantial. By age 10, over one-third of all children will have lived in a welfare household; black, non-Hispanic children face a much higher rate of exposure. Simple correlations suggest a strong negative relationship between maternal welfare receipt and children's outcomes. In this paper, we implement three alternative strategies (instrumental variables, sibling differences, and child fixed effects models) designed to identify whether this correlation can be attributed to the mother's welfare receipt directly or to other characteristics of mothers who receive welfare, regardless of whether or not those characteristics are observable to the researcher. Based on the results of all three estimation strategies, we find little evidence of any causal link between maternal welfare receipt and children's developmental outcomes.     

Mother's autonomy: impact on the quality of children's healthcare in India

Given the poor condition of children's health in developing countries, this article seeks to examine two hypotheses concerning healthcare for children. First, does mother's autonomy influence the quality of child healthcare and, second, which is related to the first, whether mother's autonomy reduces the apparent gender bias in child healthcare. Using household survey data from Bihar and Uttar Pradesh in India the article finds that for the most part as the mother's autonomy (measured several different ways) increases, the quality of care for children improves. The results also indicate that gender bias exists in the provision of quality healthcare for children. Male children generally receive better quality care. However, for several measures of female autonomy, an increase in such autonomy reduces the bias. The results of this analysis have important policy implications and provide additional insight into the state of affairs of children's health in rural India.     

A Cross Country Comparison of Child Nutrition and Investigation of its Demographic Determinants

This study pools data on child anthropometrics and on their determinants from Pakistan, Peru, Jamaica, Russia and South Africa. It, then, estimates regression equations of child height and weight, measured by the Z-scores, on both combined country data and, separately, for each country. Moreover, the study estimates the child height and weight equations, separately, for young (0–36 months) and older children (37–72 months) and provides evidence on the impact of household assets and of a household’s access to basic amenities on the health of its children. The child health in the five countries chosen, which are culturally, economically, politically and geographically, quite diverse, are compared. The paper finds that the hard core cases of child malnutrition are not necessarily related to poverty or inequality. Female education plays an effective role in improving child health, with its beneficial effects considerably enhanced in households with access to public information through the radio or the TV.

     

Child allowances and allocative decisions in Romanian households

In this paper it is tested whether increasing child allowances will affect the intra-household allocation of consumption, measured by child and adult goods, holding total household resources constant. The analysis is based on household survey data collected in Romania, where cash payments are made to families according to the number and age of children. Selectivity is controled for since there is the potential for self-selection bias in terms of the level of child allowances received. The findings suggest that holding total household resources constant, child allowances increase demand for child goods and calories and reduce demand for adult goods.     

Maybe Baby: Comparing Partnered Women's Employment and Child Policies in the EU-15

Abstract

This paper examines how child-related public policies influence women's employment in Europe. The analysis compares the difference in employment status between partnered mothers and nonmothers across the EU-15 using a wide range of self-constructed indicators of child policies such as childcare provision, parental leave, and tax-cash benefits. Using the recycled predictions method, it is possible to isolate the impact of the presence of a child from other characteristics likely to influence women's labor-market outcomes. Country-specific employment gaps among women are computed at different ages for the youngest child, for different outcomes (inactivity and part-time or full-time work), and for different levels of education. The main conclusion is that when it comes to securing equal labor-market access and conditions for mothers of young children and non-mothers, public childcare provision has the strongest impact. In the absence of public childcare, not even the most highly educated mothers can cope.     

Maternal employment trajectories and caring for an infant or toddler with a disability

Mothers caring for an infant or toddler continue to face barriers in returning to work after child birth. Mothers caring for an infant or toddler with a disability, however, may face even greater barriers. This article contributes to the literature by exploring the employment costs for this group of mothers using a novel Australian administrative data set. The employment patterns of mothers with and without a disabled infant or toddler are compared both before and after child birth. The data follow 7600 mothers on a bi-weekly basis for the entire period 12 months before and the 24 months after child birth and contain information on the disability status of the child, measures of employment and the intensity of employment. I find that mothers of disabled toddlers and infants suffer employment disadvantages relative to mothers of non-disabled children. The employment gaps grow from approximately 6 percentage points shortly after their children are born to 14–17 percentage points when their children are 12–24 months old. The employment gaps exist for full-time employment as well as for short part-time employment.     

Supply and quality choices in private child care markets: Evidence from São Paulo

Many developing countries have adopted the market approach for expanding the supply of child care, but little is known about the economic behavior of independent providers. Drawing on uniquely rich census data on child care providers from São Paulo, we document three main facts: (1) the stock of private suppliers is considerably larger in high-income city districts; (2) the quality of private provision – as measured by teachers' schooling, group size and equipment – is highly heterogeneous across space and increases systematically with local household income; and (3) a considerable share of centers operates below recommended (but not regulated) quality standards, especially in low-income districts. These findings are consistent with a model of endogenous entry and quality choices by heterogeneous providers. Market-driven heterogeneity in the quality of provision across space is an important consideration for the design of regulations in child care markets.     

International Poverty Comparisons on Unit Record Data of Developing and Developed Countries

Cross country poverty comparisons on unit records have, rarely, involved both developing and developed countries. The present study attempts to fill this gap by comparing poverty across fourteen nations with diverse economic and demographic characteristics and at vastly different stages of economic development. The study contains evidence on (a) cross country variation in the equivalence scales estimated in the presence of both household size economies and adult/child relativities, (b) impact of demographic adjustment of the poverty line, that incorporate household size and composition changes, on the poverty rates, and (c) sensitivity of the poverty estimates and their rankings to the ‘equivalence elasticity’. The study finds that country rankings based on per capita GNP bear very little resemblance with that based on the aggregate poverty rates. The latter hide substantial variation in the poverty estimates across different household types.     

Descent rules and strategic transfers. Evidence from matrilineal groups in Ghana

Traditional descent systems can roughly be divided into patrilineal and matrilineal. In the latter, a man's heir is not his own child but rather his sister's son. The paper examines the implications of this social norm for the pattern of inter-vivos transfers using household level data from rural Ghana, where the largest ethnic group is traditionally matrilineal. In particular, it tests the predictions of a model of strategic behavior according to which children should respond to the threat of disinheritance by increasing transfers to their parents during lifetime to induce a donation of land before the default (matrilineal) inheritance is enforced. I find that the credibility of customary norms enforcement, as proxied by the presence of a nephew in the father's household, significantly increases the probability of receiving transfers from children for Akans but not for the other groups. The effect is specific to nephews and not to other co-resident boys. This pattern of behavior can affect asset accumulation decisions across generations.     

Identifying non-cooperative behavior among spouses: Child outcomes in migrant-sending households

I propose a model of household decision-making under asymmetric information and show that resulting allocations may not be fully cooperative. The model yields a simple test for cooperative decision-making, which I apply to data from China. I find that, when the father migrates without his family, children spend more time in household production, while mothers spend less time in both household production and income-generating activities. This is not consistent with standard cooperative models of the household: simply reallocating time to compensate for the father's absence would cause an increase in household labor for both children and mothers and, if migration occurs in response to a negative shock, we should observe an increase in mothers' time in income-generating activities rather than a reduction. The results also do not appear to be driven by an increase in mothers' bargaining power, as children's human capital is not affected by migration, controlling for income.     

Does Maternal Age Affect Children's Test Scores?

We estimate the relationship between maternal age and child outcomes, using indices aimed at measuring overall outcomes, learning outcomes and social outcomes. In all cases, we find evidence that children of older mothers have better outcomes. Not only do children born to mothers in their twenties do better than children born to teen mothers, but children born to mothers in their thirties do better than children born to mothers in their twenties. However, when we control for other socioeconomic characteristics, such as family income, parental education and single parenthood, the coefficients on maternal age become small and statistically insignificant. The only exception is an index of social outcomes, which is positively associated with maternal age, even controlling for socioeconomic factors. For cognitive outcomes, young motherhood appears to be a marker, not a cause, of poor child outcomes.     

Educational expenditure in urban China: income effects,family characteristics and the demand for domestic and overseas education

Analysing survey data from 32 selected cities across China in 2003, this article examines parents’ expenditure on their children's education from two aspects: factors affecting domestic education expenditure and factors affecting expenditure on overseas education. The main findings that emerge from this study are as follows. First, household income has significant effects on the magnitude of the domestic and overseas educational expenditures. Second, households where mothers have senior secondary school or college education, and fathers are working in professional occupations are likely to spend more on education for their children. Third, being in the highest income category, having a college-educated father, having a mother who is a cadre or middle professional and living in a coastal area significantly enhances the probabilities for the households sending their children overseas for education.     

Soviet theories of economic demography: a survey

At this time Soviet demographic scientists maintain the position that population problems may in fact exist temporarily under socialism but that the planning principle will allow society to resolve population problems, through the use of the administrative, moral, and economic levers (subsidies, government policies, propaganda, education) emphasized by Urlanis (1974) and others. For planners to deal effectively with population management, the determinants of fertility and labor force participation must be established. The foundations of Soviet theories of human capital and fertility were laid by several writers. For the sake of simplicity, these are referred to as the Urlanis-Strumilin model, named after 2 pioneer researchers in Soviet demography and manpower economics. The formulations are based upon the writings of Strumlin (1964) and Urlanis (1974), supplemented by writings of numerous other Soviet researchers. Although their models avoid neoclassical terms such as marginal utility and income and price elasticities, they clearly employ these concepts. The Urlanis-Strumilin model, reduced to its basic elements, is a direct household utility maximizing model. The husband and wife, the household decision makers, must select optimal levels of child "quantity," child "quality," leisure, their own human capital (further education and training), and other goods. The Soviet theory recognizes that an increase in household income will increase relatively the demands for income elastic goods. The model postulates that the demand for child quality is inversely related to the price of children. The price of children is the opportunity cost of children, the major element of which is the income foregone by the mother in the course of childbearing and childrearing. The child quantity demand schedule has elastic and inelastic portions. The marginal utility of the 1st child is great. The marginal utilities of higher order children decline substantially. Families with at least 1 child can make substitutions between having more children and raising the quality of children already born. The question is what does the model predict will happen to fertility with economic development. The positive income effect will be limited as increased income is channelled into child quality and other superior goods rather than child quantity. The Urlanis-Strumilin model of labor supply assumes that the household allocates its time among market employment, household production. The model shows that the effect of children on female labor supply is not ambiguous. The presence of young children raises the value of home services and lowers long run market wages, thereby reducing female market labor supply. According to the model, the socialist state can manipulate labor supplies through several channels. It can reduce the value of home services by providing market substitutes. Soviet writers recognize the linkages between labor supply and fertility without formalizing the simultaneous relationship. The comparative statics of the Soviet model are essentially the same as those of the neoclassical model: an increase in "costs" of children will have, at best, a small positive impact on fertility.     

Capital accumulation,income distribution and endogenous fertility in an overlapping generations general equilibrium model

A study is conducted in attempts to increase the understanding of the links between macroeconomic effects and causes of population growth in formulating policy. An overlapping generations general equilibrium model is employed aggregating household decisions about fertility, savings, and investment in the human capital of children with the objective of studying intertemporal relationships among population growth, income distribution, inter-generation social mobility, skill composition of the labor force, and household income. As a result of endogenous fertility, the equilibrium path attains steady state from the second generation. Income tax transfer, child taxation, and social security taxation policies are also examined in the paper. A structural explanation is given for the inverse household income-child quantity and negative child quality-quantity relationships seen in developing countries. In a Cobb-Douglas economy, these relationships hold in the short-run, potentially working over the long-run in other economies. Overall, the model shows that group interests may hinder emergence of perfect capital markets with private initiatives. Where developing countries are concerned, these results have strong implications for population policy. A policy mix of building good quality schools, or subsidizing rural education, introducing a formal social security program, and providing high-yield, risk-free investments, banking, and insurance services to the poor is recommended.